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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Terraces at San Joaquin Gardens has been a pioneer in making residents feel welcomed and comfortable for its independent living, assisted living, memory care, and skilled nursing residents. Seniors live a vibrant lifestyle where they can pursue individual goals and needs with additional support. The Terraces is a safe and secure continuing retirement community that ensures seniors and their families the best senior care.
The Terraces at San Joaquin Gardens maintain an active lifestyle for its residents to take advantage of– a dining experience that provides delicious meals created by an executive chef, wellness programs planned for those who want to stay active with social, intellectual, and cultural opportunities found in their yoga and dance classes.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 23rd out of 275 homes in California.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
65% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #28 / 279Payroll — state benchmarkedThis home is ranked 28th out of 279 homes in California.Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the California average: 72.8%The Terraces at San Joaquin Gardens a CCRC is administrated by Alexis Case.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 10 | This facility has 70% fewer total citations than a typical California nursing home (3 vs. CA avg 10).↓ 70% better |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 2 | — | — |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 1 | — | — |
|
Citations per year
Average citations per year since 2021.
| 0.6 | 2 | This facility has 70% fewer citations per year than a typical California nursing home (0.6 vs. CA avg 2).↓ 70% better |
|
Citations per inspection
Average citations per inspection.
| 0.2 | 3.3 | This facility has 94% fewer citations per inspection than a typical California nursing home (0.2 vs. CA avg 3.3).↓ 94% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 20 | 16 | This facility has 25% more total visits than a typical California nursing home (20 vs. CA avg 16).↑ 25% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 4 | 13 | This facility has 69% fewer complaint visits than a typical California nursing home (4 vs. CA avg 13).↓ 69% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 12 | 7 | This facility has 71% more other visits than a typical California nursing home (12 vs. CA avg 7).↑ 71% worse |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4 | This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 4 | 10 | This facility has 60% fewer complaint investigations than a typical California nursing home (4 vs. CA avg 10).↓ 60% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsCalifornia average 12.5
Last Health inspection on Apr 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 32 citations resulted from standard inspections; and 5 of 32 resulted from complaint investigations.
100% better than California averageCalifornia average: 0.4
1
In line with California averageCalifornia average: 1
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 23, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 21, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 21, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 21, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
The Terraces at San Joaquin Gardens a CCRC is located in Fresno, California.
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7.9 miles from city center
Estimated distance in miles from Fresno's city center to The Terraces at San Joaquin Gardens a CCRC's address, calculated via Google Maps.
— 0.46 miles to nearest hospital (Fresno Surgical Hospital)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
2359900% better than California averageCalifornia average ratio: 0.00:1
0% compared with California averageCalifornia average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Total hours from contractors
3,942 contractor hours this quarter
| Certified Nursing Assistant | 39 | 11 | 50 | 12,273 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 12 | 12 | 24 | 4,616 | 91 | 100% | 8 |
| Registered Nurse | 10 | 0 | 10 | 3,107 | 91 | 100% | 8.3 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,792 | 91 | 100% | 7.5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,420 | 71 | 78% | 8.1 |
| Dental Services Staff | 2 | 0 | 2 | 939 | 64 | 70% | 8.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 669 | 71 | 78% | 6.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 571 | 68 | 75% | 6.2 |
| Physical Therapy Assistant | 0 | 7 | 7 | 518 | 66 | 73% | 6.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 484 | 62 | 68% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 446 | 63 | 69% | 7.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 427 | 85 | 93% | 2.9 |
| Qualified Social Worker | 0 | 3 | 3 | 101 | 38 | 42% | 2.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.3
70% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
84% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
17.0%
53% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
25.5%
112% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
77% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
45% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
4.8%
In line with California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
6.9%
64% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
4.8%
52% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
80% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
5% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Historical financial and operational data for The Terraces at San Joaquin Gardens a CCRC based on CMS SNF Cost Reports.
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The Terraces at San Joaquin Gardens a CCRC has a walk score of 57. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Terraces at San Joaquin Gardens a CCRC's occupancy is 56%.
Alexis Case is the administrator of The Terraces at San Joaquin Gardens a CCRC.
The Terraces at San Joaquin Gardens a CCRC has 652 beds.
The Terraces at San Joaquin Gardens a CCRC has had 3 recently reported deficiencies.
The Terraces at San Joaquin Gardens a CCRC is located at 5555 N Fresno St, Fresno, CA 93710, United States.
(559) 299-4391 will put you in contact with the team at The Terraces at San Joaquin Gardens a CCRC.
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